Although both intracellular pH (pH(i)) and intracellular Ca2+ concentr
ation ([Ca2+]i) are highly regulated and have important metabolic effe
cts in alveolar epithelial cells, little is known about the interrelat
ionship between these two ions in alveolar epithelial cells. The prese
nt study examined changes in [pH]i and [Ca2+]i in isolated alveolar ep
ithelial cells using the fluorescent dyes SNARF-1 and fura-2. Basal pH
(i) values in freshly isolated and cultured alveolar epithelial cells
were 7.27 and 7.24, respectively. Resting [Ca2+]i values in freshly is
olated cells (53 +/- 5 nM) were lower than those in cultured type II c
ells (107 +/- 21 nM). pH(i) increased rapidly after addition of 25 mM
NH4Cl in both cultured and freshly isolated cells and then decreased b
ack toward baseline over the following 10 min. The rise in pH(i) was a
ssociated with a transient increase in [Ca2+]i. Resuspension of cells
in an NH4Cl-free solution resulted in rapid intracellular acidificatio
n, which recovered over the subsequent 10 min. Removal of sodium or ad
dition of 1 mM amiloride to the external solution slowed the rate of r
ecovery from intracellular acidification, consistent with the particip
ation of Na+-H+ exchanger in this process. In freshly isolated cells,
[Ca2+]i increased following acidification and then decreased as the ce
lls recovered from an acid load. In cultured cells, [Ca2+]i also incre
ased following acidification but then remained elevated over the subse
quent 10 min. The recovery of [Ca2+]i toward baseline values in fresh
cells following acidification was dependent on the presence of externa
l sodium. These data demonstrate that both increases and decreases in
pH(i) of alveolar epithelial cells are associated with increases in [C
a2+]i and suggest that some of the metabolic effects of altering pH(i)
may be secondary to increases in [Ca2+]i. The dependency of [Ca2+]i r
ecovery following acidification on external sodium raises the possibil
ity that freshly isolated type II cells have Na+-Ca2+ exchangers that
contribute to the regulation of [Ca2+]i.